MARK FREDERICK ACKERMAN

OROFINO, ID
NPI1710093612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  pa-392)
Enumeration Date2006-08-22
Last Update Date2019-09-23
Business Address
MARK FREDERICK ACKERMAN PAC
1055 RIVERSIDE AVE
OROFINO, ID 83544-9029
Phone number: 208-476-4555
Mailing Address
MARK FREDERICK ACKERMAN PAC
301 CEDAR ST
OROFINO, ID 83544-9029
Phone number: 208-476-4555
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